Riverview Healthcare: Immediate Jeopardy Finding - RI
That relative was already gone.
A November 2025 complaint inspection at Riverview Healthcare Community, a nursing facility at 546 Main Street, found that a licensed practical nurse had called the wrong doctor when a resident's condition changed. At 2:35 p.m., Staff A notified the on-call provider for Resident ID #2, not Resident ID #1, who was the patient actually experiencing the change in condition. She acknowledged this during a surveyor interview on November 25. She also acknowledged she never notified Resident ID #1's family representative that their relative had been transferred to the hospital at all.
The family learned the truth only after the hospital called them, prompting them to phone the facility. Staff told them the resident was fine. Eating Chinese food.
When surveyors interviewed the Director of Nursing Services and the Administrator on November 25 and November 26, neither could produce evidence that the facility had promptly contacted the correct physician or informed the resident's family when the condition changed. They had nothing to show.
The deficiency was cited at a level of minimal harm or potential for actual harm. Whether the delay in reaching the correct provider affected the resident's care is not addressed in the inspection report.
What the record does show is a family left waiting, calling around, being told the wrong thing, while their relative was already somewhere else.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Riverview Healthcare Community from 2025-11-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Riverview Healthcare Community in Coventry, RI was cited for immediate jeopardy violations during a health inspection on November 28, 2025.
That relative was already gone.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.